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Several factors contribute to the challenge: Altitude effects: Reduced oxygen levels at high elevations stress the cardiovascular system Daily duration: Trek days range from 5 to 8 hours of walking Cumulative distance: Approximately 130 km total over multiple days Terrain variation: Rocky trails, suspension bridges, steep ascents and descents Basic facilities: Simple tea house accommodations and limited amenities Weather exposure: Cold temperatures and potential for sudden weather changes Nevertheless, thousands of trekkers with average fitness levels successfully complete the Everest Base Camp trek itinerary each year